The hospice nurse is working with a volunteer.
Which task could the nurse delegate to the volunteer?
Provide spiritual support for the client and family members.
Check the home to see that all necessary medical equipment is available.
Give the client a sponge bath and rub lotion on the bony prominences.
Sit with the client while they reminisce about life experiences.
The Correct Answer is D
This question involves delegation principles in hospice care. Knowledge of the scope of practice for volunteers versus clinical staff is required. It focuses on identifying non-clinical, psychosocial support tasks appropriate for an unlicensed, non-medical volunteer to perform.
Choice A rationale
Providing spiritual support is a specialized role typically reserved for chaplains or trained clergy members. While volunteers are supportive, this task involves professional spiritual counseling and assessment beyond a general volunteer scope of practice.
Choice B rationale
Assessing the availability and functionality of medical equipment is a clinical responsibility. The nurse or a medical technician must ensure that the home environment is safe and that technical care requirements are met appropriately.
Choice C rationale
Personal care, such as sponge baths and skin assessments for bony prominences, involves physical contact and monitoring for skin breakdown. These tasks are typically delegated to nursing assistants or home health aides, not volunteers.
Choice D rationale
Volunteers in hospice are trained to provide companionship and emotional presence. Sitting with a client to reminisce provides psychosocial support and comfort, which falls within the volunteer's role of enhancing the client's quality of life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Post-procedure assessment for esophageal varices requires prioritizing the system most likely to experience re-bleeding. Knowledge of portal hypertension and gastrointestinal assessment is necessary to monitor for therapeutic success or acute recurrence of life-threatening hemorrhage after treatment.
Choice A rationale
While neurological status is important to assess for hepatic encephalopathy in liver patients, it is not the primary system for a focused assessment immediately following a successful intervention for an active gastrointestinal bleed unless symptoms arise.
Choice B rationale
Integumentary assessment might show jaundice or bruising in liver disease, but it does not provide critical information regarding the immediate stability of the esophageal varices or the potential for a sudden recurrence of internal bleeding.
Choice C rationale
The gastrointestinal system is the priority because the client is at high risk for re-bleeding. Monitoring for hematemesis, melena, and abdominal girth helps detect early signs of failure in the variceal ligation or sclerotherapy treatment provided.
Choice D rationale
Renal function is monitored in liver failure due to the risk of hepatorenal syndrome, but it remains secondary to the gastrointestinal system during the immediate twenty-four-hour post-procedure window focused on stabilizing the variceal hemorrhage.
Correct Answer is A
Explanation
Managing diabetic ketoacidosis involves addressing hyperglycemia, ketosis, and metabolic acidosis. Applying knowledge of insulin pharmacokinetics is essential, specifically identifying which insulin preparation is suitable for intravenous administration to rapidly reduce blood glucose and halt ketone production in emergencies.
Choice A rationale
Regular insulin is a short-acting preparation and the only insulin that can be administered intravenously. It rapidly lowers blood glucose and reverses ketoacidosis by inhibiting lipolysis. Onset is 30 to 60 minutes when given subcutaneously.
Choice B rationale
Insulin detemir is a long-acting basal insulin analog with a slow, steady release profile over 24 hours. It lacks a peak and cannot be given intravenously, making it inappropriate for the acute management of diabetic ketoacidosis.
Choice C rationale
NPH insulin is an intermediate-acting insulin containing protamine to delay absorption. It has an onset of 1 to 2 hours and is used for maintenance, not for the rapid correction of life-threatening metabolic acidosis.
Choice D rationale
Insulin glargine is a long-acting basal insulin that provides a constant concentration for 24 hours. It is used for long-term glycemic control and cannot be administered intravenously for emergent stabilization of diabetic ketoacidosis.
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